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administrative

administrative assisting

TermDefinition
first step in check in process greeting the patient
demographic info Pt's full name, DOB, guarantor name and their relationship to the Pt, address, number, marital status, spousal info, place of employment, SSN, Drivers license #, emergency contact info
consent to treat form must be filled out before being seen by the provider.
informed consent form must be given and signed before any treatment or procedure is done.
appointment book a book used to schedule, cancel, and reschedule appts. can be color-coded or arranged so a week is shown at a glance
matrix a table used for scheduling
template an outline used to make new pages with a similar design, pattern, or style
no-show appointment that an individual fails to keep without giving notice
referral directing a patient to a specialist.
wave scheduling scheduling three patients at the same time to be seen in order in which they arrive
modified wave scheduling allocating two patients to arrive at a specified time and the third to arrive approximately 30 minutes later, repeated throughout the day
double-booking scheduling two patients at the same time with the same provider, often to fit in a patient who has an acute illness
notice of privacy practices a notification by providers required by the HIPAA privacy rule that provides an understandable explanation of Pt's rights with respect to their personal health info and the privacy practices of their providers
screening examining and separating into groups
longest a patient should wait 15 minutes
diagnostic and procedural coding translates written descriptions of diseases, ailments, injuries, or any health encounter into numeric or alphanumeric codes.
ICD-10-CM contains approx. 55,000 more codes than ICD-9-CM. allows more specific reporting of diseases and newly recognized conditions.
ICD-10-PCS is a system comprised of medical classifications for procedural codes typically used within hospitals that record various health treatments and testing.
current procedural terminology (CPT) five-digit numeric codes used to describe an evaluation/management service rendered by providers
healthcare common procedural coding system (HCPCS) codes created by the centers for Medicare and Medicaid services to report supplies, materials, and other procedures and services not defined in the CPT manual.
two primary reasons claims are denied technical errors and insurance policy coverage issues.
administrative supplies pens/pencils, reams of paper, toner cartridges, paper clips, registration forms, patient info sheets, clipboards
account balance the amount owed on an account
debit an amount owed
credit the monetary balance in an individual's favor
accounts receivable money owed to the provider
accounts payable debts incurred, not yet paid
assets the entire saleable property of a person, association, corporation, or estate applicable or subject to the payment of debts
liabilities amounts owed; debts
electronic medical record (EMR) an electronic record of health-related info about an individual that can be created, managed, and accessed by authorized individuals within a single health care organization
electronic health record (EHR) an electronic record of patients health related info that conforms to nationally recognized interoperability standards, and can be created, managed, and accessed by authorized individuals from multiple health care organizations.
info needed to verify prior authorization authorization code, date authorization is effective, date it expires, authorized diagnosis and procedural codes, contact info for specialist office, how many visits are authorized, what the authorization has been issued for
precertification a process required by some insurance carriers in which the provider must prove medical necessity before performing a procedure.
Created by: elshalance
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